{Reference Type}: Journal Article {Title}: Phototherapy: a new risk factor for necrotizing enterocolitis in very low birth weight preterm infants? a retrospective case-control study. {Author}: Li J;Zhong XY;Zhou LG;Wu Y;Wang L;Song SJ; {Journal}: J Perinatol {Volume}: 43 {Issue}: 11 {Year}: 2023 11 7 {Factor}: 3.225 {DOI}: 10.1038/s41372-023-01744-y {Abstract}: To investigate the association between phototherapy (PT) and the development of necrotizing enterocolitis (NEC) in very low birth weight (VLBW) infants.
A retrospective case-control study was conducted on VLBW infants with or without NEC (stage IIA or greater) born at ≤35 weeks' gestation in a tertiary hospital over 7 years. Sample size calculation, trend test, as well as univariate and multiple logistic regression analyses were employed.
A total of 824 VLBW infants were reviewed, with 74 cases and 122 controls finally enrolled. The odds of NEC increased with the duration and number of PT sessions. Exposure to >120 h and >4 instances of PT were significantly associated with NEC in multivariate analysis.
This is the first study suggesting a potential association between PT and development of NEC in VLBW infants. This association needs further exploration.